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目的:探讨剖宫产同时行子宫肌瘤剔除的安全性和可行性。方法:选取近3年在我院实施剖宫产同时行子宫肌瘤剔除的50例患者作为观察组,另选50名同期妊娠不合并有子宫肌瘤选择性剖宫产的患者作为对照组,对比观察两组手术出血量、术后排气时间、产后恢复情况以及新生儿情况。结果:观察组的手术时间长,差异具有统计学意义(P<0.05);两组术中出血量、术后排气时间无统计学意义(P>0.05),观察组较对照组术中平均出血量约多75ml;产后恢复情况以及新生儿方面两组无显著差异(P>0.05)。结论:剖宫产同时行子宫肌瘤剔除是安全可行的,免去了患者二次手术的痛苦,值得临床广泛采用。
Objective: To investigate the safety and feasibility of cesarean section culling myomectomy. Methods: Fifty patients who underwent cesarean section and myomectomy at the same time in our hospital during the past three years were selected as the observation group. Fifty patients with elective cesarean section without pregnancy were selected as the control group, The operative blood loss, postoperative exhaust time, postpartum recovery and newborns were compared between the two groups. Results: The operation time of the observation group was longer and the difference was statistically significant (P <0.05). There was no significant difference in intraoperative blood loss and postoperative exhaust time between the two groups (P> 0.05) Bleeding about 75ml; postpartum recovery as well as newborns no significant difference between the two groups (P> 0.05). Conclusion: Cesarean section at the same time the rejection of uterine fibroids is safe and feasible, eliminating the pain of patients with secondary surgery, it is widely used in clinical.